| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,332 |
5,726 |
$284K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
778 |
756 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
496 |
482 |
$49K |
| 76830 |
Ultrasound, transvaginal |
703 |
688 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
690 |
679 |
$41K |
| 59025 |
Fetal non-stress test |
1,263 |
683 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
486 |
$32K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
479 |
203 |
$32K |
| 81025 |
|
1,204 |
1,162 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,572 |
1,463 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
105 |
$3K |
| 99459 |
|
151 |
144 |
$2K |
| 76801 |
|
29 |
28 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
143 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$881.79 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$0.25 |